2015-07-30_REPORT - M2008006

• Permit No: M2008006
• IBM Index Class Name: REPORT
• Doc Date: 7/30/2015
• Doc Name: Annual Fee, Report & Map
• From: Connell Resources
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Page 5 of 5.
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Division records indicate the following permittee contact infomlation. If this information is not current, please type or
print current contact information:
Permittee Contact:
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Permittee Company:
Connell Resources, Inc.
Address:
7785 Highland Meadows Pkwy.,
Ste. 100
Fort Collins, Co 80528
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
Signature of Permittee, Corporate Officer, Owner, or Documented Designee
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Date